Individual
JOHN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4705 HENRY HUDSON PKWY W, 11G, BRONX, NY 10471-3231
(914) 424-1591
Mailing address
4705 HENRY HUDSON PKWY W, 11G, BRONX, NY 10471-3231
(914) 424-1591
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
01/30/2014
Last updated
01/30/2014
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